Dr. Daniel Bouland Appointed Chief of the Division of Hospital Medicine

Wolfgang H. Dillmann, MD

Wolfgang H. Dillmann, MD

Wolfgang Dillmann, MD, Helen M. Ranney Distinguished Professor and Chair of the Department of Medicine

The Department of Medicine is very pleased to announce the appointment of Dr. Daniel Bouland as chief of the Division of Hospital Medicine effective July 1, 2016. Dr. Bouland will work with the Chair of Medicine and the CEO of the Health System to ensure continued growth of the division; additionally, Dr. Bouland will also continue to support the department of medicine in a new role as Vice Chair for Clinical Quality Improvement and Patient Experience.

Dr. Daniel L. Bouland

Daniel L. Bouland, MD, MS, FACP

Dr. Bouland is highly regarded as a clinician and educator as well as being an experienced leader in health care management and administration with vast experience in the field of hospital medicine across various governmental and private sectors.

Dr. Bouland received his medical training at Loma Linda University School of Medicine and completed an internal medicine residency at the same institution, serving an additional year as chief medical resident at affiliated Riverside General Hospital/University Medical Center (RGH/UMC). Commitments with the United States Public Health Service afforded Dan opportunities to work with indigent populations in southern California as well as the Indian Health Service. Upon his subsequent return to RGH/UMC, Dr. Bouland was progressively appointed Assistant, Associate, and then Chair of the Department of Medicine. During this time, additional functions included vice-chair of the Department of Medicine and Associate Program Director, Internal Medicine Residency Program, Loma Linda University Medical Center; president of hospital-based physicians RGH/UMC; and CEO/President of the Mission Medical Group of the Inland Empire. Of note internationally, in addition to lectures and clinical care, is his establishing and maintaining a US-style medicine residency program at Sir Run Run Shaw Hospital, Zhejiang Medical University in Hangzhou, China.

In 2000, Dan moved to Hawaii to serve as Associate Chief of Staff for Primary Care and Medicine of the Veterans Affairs Pacific Islands Health Care System (VAPIHCS), and then as Director of the Office of Referral and Management Services of the VAPIHC.

After joining the UCSD Division of Hospital Medicine in 2006, Dan completed a Master’s program in Health Care Management at Harvard. He has taken on many leadership roles within the University, including serving as Vice Chair for Clinical Operations in the department of medicine and as Director of Evaluation for the Altman Clinical and Translational Research Institute.

Current research efforts focus primarily on Quality Improvement initiatives, particularly the application of a results-oriented, business management approach to health care.

Please join me in congratulating Dr. Bouland in his formal appointment as Chief of the Division of Hospital Medicine.

Presenting at Medicine Grand Rounds September 4: Dr. Ian Jenkins

Dr. Ian JenkinsMedicine Grand Rounds will resume on Wednesday, September 4, 2013, with a presentation by Ian Jenkins, MD, Health Sciences associate clinical professor in the Division of Hospital Medicine at UC San Diego.

His presentation is titled, “America’s Cost-Quality Crisis.”

Jenkins holds a number of leadership positions in the Society of Hospital Medicine (SHM), the largest professional organization dedicated to hospitalists and hospital quality improvement.

Jenkins is an advisor for the SHM Quality Improvement Resource Rooms.

At the annual meeting of the SHM in May 2013, Jenkins co-directed the pre-course, “QI for High Value Healthcare: Making the ABIM Foundation Choosing Wisely® Campaign a Reality.”

Jenkins was part of the UCSD team that conducted the award-winning Optimal Prevention of Hospital Acquired Venous Thromboembolism study funded by the Agency for Healthcare Research and Quality (AHRQ).

Subsequently, he headed a study of the impact of optimal venous thromboembolism prophylaxis on the rate of heparin-induced thrombocytopenia. The study was published in The Joint Commission Journal on Quality and Patient Safety in 2011.  |  Read study abstract

In the UCSD School of Medicine, Jenkins co-directs the “Principles to Practice” pre-internship course, a required clinical core course for fourth-year medical students. His hospital quality improvement projects for UC San Diego Health System include an effort to improve the management of alcohol withdrawal.

Jenkins received his MD degree from the University of Virginia Medical School in Charlottesville, Virginia, and did his residency training at Beth Israel Deaconess Medical Center in Boston, Massachusetts.

The 2013-2014 schedule for Medicine Grand Rounds is posted here.

UC San Diego Medical Center Named One of the Nation’s 100 Top Hospitals by Thomson Reuters

UC San Diego Medical Center, located in Hillcrest, has been named one of the nation’s 100 Top Hospitals® by Thomson Reuters. Ranked among the country’s major teaching hospitals, the Medical Center was also one of twelve hospitals to receive the Everest Award. This award honors hospitals that have achieved both the highest current performance and the fastest long-term improvement over a five-year period in Reuter’s national benchmarking study…. Read the full story from the UCSD Newsroom

UC San Diego Medical Center hospital in Hillcrest
More about the 100 Top Hospitals® Award:

UCSD Cardiovascular Team Honored with AHA Gold

UC San Diego Health System is one of only 167 hospitals nationwide to receive the American College of Cardiology Foundation’s NCDR ACTION Registry–GWTG (Get with the Guidelines) Gold Performance Achievement Award for 2011…. Read the full story from the UCSD Newsroom

Dr. Greg Maynard: Two New Leadership Roles in Hospital Quality Improvement

Directing QI Initiatives for UC San Diego and the Society of Hospital Medicine

Dr. Greg Maynard Accepting new leadership positions in hospital quality improvement with UC San Diego and the Society of Hospital Medicine (SHM), Dr. Greg Maynard has stepped down as Hospital Medicine division chief effective July 1.

He will direct the UC San Diego Center for Innovation and Improvement Science (CIIS) and serve as Senior Vice President of the Society of Hospital Medicine’s new Center for Healthcare Improvement and Innovation (CHII).  |  Read the SHM press release >

“I’m excited about the opportunities for collaboration, improvement, and innovation afforded by each of these positions, as well as the potential synergy between them,” said Maynard.

A member of the UC San Diego Department of Medicine faculty since 2003, Maynard was the founding chief of the Division of Hospital Medicine when it was established in 2005.

“As division chief, Greg Maynard has developed one of the most respected and effective hospitalist programs in the country,” said Department of Medicine Interim Chair Wolfgang H. Dillmann, MD.

“I have no doubt that UC San Diego Health System and the Society of Hospital Medicine will make important advances in hospital quality and patient safety through his leadership.”

DrGregSeymannLongtime UC San Diego hospitalist Gregory B. Seymann, MD, SFHM, Health Sciences Clinical Professor, is the new Hospital Medicine division chief. For the past year, he has served as associate division chief with Dr. Bryan Huang.

“The Division of Hospital Medicine has benefited greatly from Dr. Maynard’s leadership.” Seymann said. “I will work hard during this transition to maintain the excellent patient care, teaching, and systems improvement efforts that our division has championed.”

Dr. Bryan Huang

Health Sciences Assistant Clinical Professor Bryan Huang, MD, will continue in his role as associate division chief.

Maynard will carry out his SHM duties largely from San Diego, with periodic visits to SHM headquarters in Philadelphia.

With a part-time appointment in Hospital Medicine, he will continue to be involved in the division’s clinical, teaching, and quality improvement activities.

He will also continue as chair of the UC San Diego Health System Patient Safety Committee.

Leading The Center in the Society of Hospital Medicine

The Society of Hospital Medicine (SHM) is the primary professional medical society for hospitalists. Its Center for Healthcare Improvement and Innovation, known as The Center, is a new division that gathers all quality improvement initiatives under Maynard’s direction.   |   Read the SHM press release >

Maynard has played influential roles in developing these initiatives. He has served as a leader in SHM collaboratives on venous thromboembolism (VTE) prevention, glycemic control, and transitions of care for older adults in the hospital.

A founder of the SHM’s Mentored Implementation Program, he has guided numerous hospital medicine programs through quality improvement processes that mirror what he and his colleagues have done at UC San Diego.

Now, as Senior Vice President of The Center, Maynard will oversee all QI initiatives and assist the SHM in designing its strategies for supporting and expanding its healthcare quality improvement efforts.

The Center provides a suite of QI tools and resources for hospitalists. Online collaboration programs offer expert guidance in VTE prevention, glycemic control, and transitions of care.

Through The Center, hospitalists can obtain mentored implementation programs, communicate with other QI program directors via a collaborative network, and access an online QI data repository.

The Agency for Healthcare Research and Quality recently recognized The Center as a Patient Safety Organization, which makes it possible for medical centers to submit protected health information to the SHM for analysis of patient safety events without violating HIPAA guidelines.

Leading the UC San Diego Center for Innovation and Improvement Science

UC San Diego Medical Center in Hillcrest The Center for Innovation and Improvement Science is a new entity that conducts quality improvement efforts in collaboration with UC San Diego Health System management, the Performance Improvement and Patient Safety Office, the Clinical and Translational Research Institute, and the Division of Biomedical Informatics.

As director of the CIIS, Maynard is leading UC San Diego’s efforts to address local and regional quality improvement goals:

  • Accelerating inpatient quality and safety initiatives and developing tools to assess their progress
  • Fostering QI skills in UC San Diego personnel and their collaborators and disseminating their successful QI tools through mentorship, consultation, and publication
  • Reviewing new technologies and fostering new research programs

One of the specific goals of the CIIS is to help other local and regional medical centers improve their quality of care, particularly in VTE prevention, glycemic control, anticoagulation management, and transitions of care.

Another goal is to disseminate UC San Diego’s findings and achievements, establishing UC San Diego more firmly as an innovative center and a leader in hospital quality and patient safety.

About Dr. Maynard

Dr. Greg MaynardGregory A. Maynard, MD, MSc, SFHM, Health Sciences Clinical Professor, has led the development of patient safety and hospital quality improvement protocols that have gone on to widespread implementation through the Society of Hospital Medicine, the Agency for Healthcare Research and Quality, the Institute for Healthcare Improvement, and the American Society of Health-System Pharmacists.

For their work in venous thromboembolism (VTE) prevention, Maynard and his colleagues received the SHM Team Approaches in Quality Improvement Award in 2008 and the Venous Disease Coalition’s Venous Research Award for Quality Improvement and Implementation of Best Practices in 2009.

Maynard received his MD degree at the University of Illinois and completed his residency and chief residency in Internal Medicine at Good Samaritan Regional Medical Center in Phoenix, Arizona.

Thereafter, he directed the Good Samaritan Hospital Medicine program and served as Senior Associate Director of the Internal Medicine Residency Program.

He earned his MSc in Clinical Research Design and Biostatistics from the University of Michigan in 1993.

Since Maynard came to UC San Diego in 2003, the Hospital Medicine program has expanded from 4 faculty members covering Thornton Hospital to 30 faculty hospitalists covering both Thornton Hospital and the UC San Diego Medical Center in Hillcrest.

Maynard has served as chair of the Inpatient Glycemic Control Committee, the Patient Discharge Process Improvement /Transitions of Care Committee, and the Patient Safety Committee. He has been leader of the VTE Management Task Force and co-leader of the Inpatient Osteoporosis Identification and Management Task Force.

The American College of Physicians named Maynard a Top Hospitalist in the United States in November 2008. This year, he received the UC San Diego School of Medicine’s Leadership and Innovation in Patient-Centered Systems Award.

About Dr. Seymann

Dr. Greg SeymannGregory B. Seymann, MD, SFHM, received his MD degree from UCLA in 1994 and completed his residency training in internal medicine at UC San Diego in 1997. Upon his graduation, he joined the UC San Diego Department of Medicine faculty as an assistant professor.

Seymann helped to found the original group of hospitalists at UC San Diego in 1998.

Seymann’s clinical and research interests are in community-acquired and healthcare-associated pneumonia, performance measurement for hospitals and physicians, systems-based quality improvement, and perioperative consult medicine.

In 2008, the San Diego County Medical Society and San Diego Magazine named Seymann to the “San Diego’s Top Doctors” list. In the same year, graduating housestaff honored him with their annual teaching award.

This year, he received the Medicine 401 Excellence in Teaching Award.

In the Society of Hospital Medicine, Seymann chairs the Academic Practice and Promotions Task Force and is a member of the Academic Hospitalist Committee, the Performance and Standards Committee, and the Ethics QI Research Subcommittee.

He is a member of the UC San Diego Patient Safety Committee. In the Department of Medicine, he is a member of the Committee on Advancement and Promotions, the Peer Review Committee, and the Executive Committee. He chairs the Division of Hospital Medicine Peer Review Committee.

Seymann is a member of the UC San Diego ORYX Core Measures Team for Community Acquired Pneumonia. ORYX is an initiative of the Joint Commission for Accreditation of Healthcare Organizations.

About Dr. Huang

Dr. Bryan HuangBryan Huang, MD, Health Sciences Assistant Clinical Professor, received his MD degree from UC San Francisco. He has been a member of the Hospital Medicine faculty since his graduation from internal medicine residency training at Stanford University in 2006.

Huang has special interest in the areas of prevention and management of delirium, prevention of falls, transitions of care, VTE prevention, and treatment of pneumonia.

He has completed additional training in quality improvement through the mini-advanced training program offered by Intermountain Healthcare in Salt Lake City, as well as the SHM Leadership Academy.

He served as the Thornton site director for the Core Clerkship in Internal Medicine in the School of Medicine until this June, and will continue to serve on the Medicine 401 course committee.

Huang served on the SHM Early Career Hospitalists committee from 2007 to 2010.

Together with Dr. Greg Seymann, he has served as associate division chief of Hospital Medicine for the past year. His responsibilities have included workflow redesign, scheduling, budgeting, recruitment, and working with the Internal Medicine Residency Program.

UC San Diego Health System Recognized for Quality Heart Disease/Stroke Care

Dr. Ori Ben-Yehuda describes the significance of UCSD’s Get With The Guidelines® Gold Performance Achievement Award in the UCSD Newsroom story, “UC San Diego Health System Recognized for Quality Heart Disease/Stroke Care.”

Get With the Guidelines® is a quality improvement program of the American Heart Association and the American Stroke Association. Ori Ben-Yehuda, M.D., F.A.C.C., is Professor of Medicine in the Division of Cardiology and Director of the Coronary Care Unit at UCSD.

Dr. Gregory A. Maynard Is Named a Top Hospitalist in the U.S.

Dr. Greg MaynardDr. Gregory A. Maynard, chief of Hospital Medicine at UCSD, is one of the top 10 U.S. hospitalists in a new ranking from the prestigious American College of Physicians.

The honor was announced in November. It recognizes Dr. Maynard’s outstanding contributions in improving the quality of hospital care and mentoring hospitalists in the U.S. and abroad.

Dr. Maynard has led the UCSD hospitalist team in developing nationally-recognized patient safety and quality improvement programs.

These efforts have advanced two crucial aspects of patient safety in the hospital: venous thromboembolism prevention and glycemic control.

Dr. Maynard is also an active mentor in the developing field of hospital medicine.

He’s advising a number of institutions as they develop hospital medicine programs. Among these is the Pontificia Catholic University of Chile in Santiago, where Dr. Maynard helped conduct the first-ever Chilean hospitalist meeting last November.

Dr. Maynard and the other “Top Hospitalist” honorees are profiled in the November 2008 issue of ACP Hospitalist.  |  Read the article

UCSD’s advances in patient care quality improvement

Gregory A. Maynard, M.D., M.Sc., joined the UCSD faculty in 2003 as head of the new Hospital Medicine division.

Since then, the division has expanded to 23 faculty members and has won national awards for its achievements in hospital care quality improvement.

In 2008, the Society of Hospital Medicine honored Dr. Maynard and the UCSD hospitalists with the Team Improvement Award for their venous thromboembolism prevention program.

The program was developed with funding from the Agency for Healthcare Research and Quality.

Dr. Maynard and his colleagues developed a risk assessment tool that allows healthcare professionals to identify quickly and accurately the most appropriate venous thromboembolism prevention measures for each hospitalized patient.

As a result, the UCSD Medical Center is among the leaders in the U.S. in preventing venous thromboembolism in its inpatients.

At the UCSD Medical Center in Hillcrest alone, the program prevents approximately 50 cases of venous thromboembolism each year.

The tool, now part of the Venous Thromboembolism Resource Room on the Society of Hospital Medicine website, is now in use at medical centers around the nation.

UCSD’s hospitalists also play a major part in the Society of Hospital Medicine’s Inpatient Glycemic Control Task Force, which is headed by Dr. Maynard.

The work of the task force was presented recently in a special supplement issue of the Journal of Hospital Medicine (JHM).

“Most of the work on the SHM website, this supplement, and the SHM QI pre-courses features contributions and lessons learned from the hospitalists at UCSD,” Dr. Maynard said.

The term “hospitalist” was first used in 1996 in a New England Journal of Medicine article that highlighted the importance of inpatient-focused care in healthcare today.  |  Read the article

The role of the hospitalist

In creating the “Top Hospitalists” list, the American College of Physicians is recognizing the increasing importance of the new specialty of hospital medicine.

Hospitalists dedicate themselves to improving the quality of care for hospitalized patients. Their efforts range from creating new disease management protocols to revamping hospital information systems.

According to the Society of Hospital Medicine, there are an estimated 20,000 hospitalists in practice today.

As experienced attending physicians who are continuously available on the wards, hospitalists also play a central role in training students, residents, and fellows.

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